Robotic Cardiac Surgery Part I: Anesthetic Considerations in Totally Endoscopic Robotic Cardiac Surgery (TERCS)

Fitzgerald, Meghann M.; Bhatt, Himani V.; Schuessler, Martha E.; Guy, T. Sloane; Ivascu, Natalia S.; Evans, Adam S.; Ramakrishna, Harish

doi:10.1053/j.jvca.2019.02.039

Cited by 6 publications

(7 citation statements)

References 46 publications

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“…The robotic technology can be utilized to harvest the left internal mammary artery and to assist in the coronary graft anastomosis. 82,83 According to a recent analysis from The Society of Thoracic Surgeons adult cardiac surgery database, there continues to be a slow uptake of robotic techniques for coronary artery bypass, as evidenced by an approximate 1% prevalence. 82 This low prevalence is largely owing to the absence of large randomized control trials demonstrating its long-term safety or superiority over conventional CABG, although trials have suggested its safety and cost-effectiveness.…”

Section: Robotic Coronary Artery Bypass Graftingmentioning

confidence: 99%

“…84,85 Further barriers to the dissemination of robotic technology in this setting include the initial high equipment cost, a significant learning curve and a relatively longer operating time. 82,83 A recent trial evaluated a single-center experience of robotic coronary artery bypass grafting over 18 years (1998-2016). 84 The cohort size was 605 with a reported operative mortality of 0.3%.…”

Section: Robotic Coronary Artery Bypass Graftingmentioning

confidence: 99%

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The Year in Cardiothoracic and Vascular Anesthesia: Selected Highlights from 2019

Evans¹,

Weiner

Shaefi

et al. 2020

Journal of Cardiothoracic and Vascular Anesthesia

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This highlights in our specialty for 2019 begin with the ongoing major developments in transcatheter valve interventions. Thereafter, the advances in left ventricular assist devices are reviewed. The recent focus on conduit selection and robotic options in coronary artery bypass surgery are then explored. Finally, this special articles closes with a discussion of pulmonary hypertension in noncardiac surgery, anesthetic technique in cardiac surgery, as well as postoperative pneumonia and its outcome consequences.

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Section: Robotic Coronary Artery Bypass Graftingmentioning

confidence: 99%

Section: Robotic Coronary Artery Bypass Graftingmentioning

confidence: 99%

The Year in Cardiothoracic and Vascular Anesthesia: Selected Highlights from 2019

Evans¹,

Weiner

Shaefi

et al. 2020

Journal of Cardiothoracic and Vascular Anesthesia

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“…Hangi akciğer izolasyon tekniğinin kullanılacağı anestezistin tecrübesine ve elde bulunan tüpe göre değişebilir (6) . Ancak sıklıkla akciğer izolasyonunda ÇLT'ler kullanılırken, zor hava yolu olduğu düşünülen hastalarda endobronşial blokörlerin kullanılması akılda tutulmalıdır (7,8) . Çünkü ÇLT kullanılarak akciğer izolasyonu sağlanan hastalarda postoperatif dönemde tüplerinin standart entübasyon tüpü ile değiştirilmesi gerekmektedir.…”

Section: Gereç Ve Yöntemunclassified

Anesthetic Management in Robotic Cardiac Surgery: Our Clinical Experiences

Ince¹,

Ors²,

Özkan³

et al. 2020

jarss

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Minimal invaziv cerrahi yaklaşımlar çeşitli potansiyel yararlarının yanı sıra anestezi ve cerrahi ekipleri için yeni zorlukları da beraberinde getirmiştir. Bu çalışmada, kliniğimizde gerçekleştirilen robotik kardiyak cerrahi işlemlerindeki anestezi deneyimimizi güncel bilgiler eşliğinde sunmayı amaçladık. Yöntem: Bu çalışma, Ekim 2014-Aralık 2019 tarihleri arasında sağ torakotomi ile robotik kardiyak cerrahi geçiren 227 (120 erkek, 107 kadın) hastayı içermektedir. Hastalara ait demografik veriler, cerrahi tipi, EuroSCORE değerleri, kros-klemp ve pompa süresi, postoperatif komplikasyonlar, yoğun bakımda ve hastanede kalış süreleri hasta dosyalarından ve anestezi takip formlarından taranarak elde edildi. Bulgular: Robotik kardiyak cerrahi ile 101 hastaya ASD-VSD, 114 hastaya kapak cerrahisi ve 13 hastaya intrakardiyak kitle eksizyonu işlemi yapıldı. Bu işlemlerden 15'i atan kalpte gerçekleştirildi. Ameliyat sonrası hastaların median ekstübasyon süresi 5 saat, median yoğun bakım kalış süresi 1 gün ve median hastanede kalış süresi 7 gün idi. Postoperatif dönemde uzamış mekanik ventilasyon gereksinimi nedeniyle 3 hastaya trakeostomi açıldı. Kapak cerrahisi yapılan hastalardan 10'una kalıcı kalp pili implantasyonu yapıldı. Sonuç: Hem torasik hem de kardiyak cerrahinin tüm özelliklerini içeren robotik kardiyak cerrahide anestezistlerin oluşabilecek komplikasyonları bilmesi ve bunlara karşı önceden plan yapması gerekmektedir. Ayrıca özellikli bu cerrahinin ayrılmaz bir parçası olan tek akciğer ventilasyonu ve transözofageal ekokardiyografi için gerekli olan bilgi birikiminin kazanılması gerekmektedir.

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“…While previous studies have demonstrated lower systemic opioid requirements with use of intrathecal morphine for open cardiac surgery, 25 Dhawan et al sought to determine the benefits in minimally invasive cardiac surgery. 26 Pain after mini-thoracotomy and robotic thoracic ports is consistently more significant than that of median sternotomy, 27 warranting additional therapy to achieve analgesia. In this placebo-controlled, double blinded trial, 79 patients were randomized to either intrathecal morphine (5 mcg/kg, 37 patients) or intrathecal saline (42 patients) prior to induction of general anesthesia.…”

Section: Introductionmentioning

confidence: 99%

Year in Review 2021: Noteworthy Literature in Cardiothoracic Anesthesia

Smoroda

Douin

Morabito

et al. 2022

Semin Cardiothorac Vasc Anesth

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In 2021, progress in clinical science related to Cardiac Anesthesiology continued, but at a slower rate due to the ongoing pandemic and disruptions to clinical research. Most progress was incremental and addressed persistent questions related to our field. To identify articles for this review, we completed a structured review using our previously reported methods (1). Specifically, we used the search terms: “cardiac anesthesiology and outcomes” (n = 177), “cardiothoracic anesthesiology” (n = 34), “cardiac anesthesia,” and “clinical outcomes” (n = 42) filtered on clinical trials and the year 2021 in PubMed. We also reviewed clinical trials from the most prominent clinical journals to identify additional studies for a narrative review. We then selected the most noteworthy publications for inclusion in this review and identified key themes.

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Robotic Cardiac Surgery Part I: Anesthetic Considerations in Totally Endoscopic Robotic Cardiac Surgery (TERCS)

Cited by 6 publications

References 46 publications

The Year in Cardiothoracic and Vascular Anesthesia: Selected Highlights from 2019

The Year in Cardiothoracic and Vascular Anesthesia: Selected Highlights from 2019

Anesthetic Management in Robotic Cardiac Surgery: Our Clinical Experiences

Year in Review 2021: Noteworthy Literature in Cardiothoracic Anesthesia

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